75_1_91.pdf 4.31 MB
Shiotania, Toshio Department of Organ Transplantation Center, Okayama University Hospital
Yamamoto, Hiromasa Department of Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Katsube, Riko Department of Thoracic Surgery, Okayama University Hospital
Tomioka, Yasuaki Department of Organ Transplantation Center, Okayama University Hospital
Miyoshi, Kentaroh Department of Thoracic Surgery, Okayama University Hospital Kaken ID
Otani, Shinji Department of Thoracic Surgery, Okayama University Hospital
Okazaki, Mikio Department of Thoracic Surgery, Okayama University Hospital
Sugimoto, Seiichiro Department of Organ Transplantation Center, Okayama University Hospital ORCID Kaken ID publons researchmap
Sohb, Junichi Department of Thoracic Surgery, Okayama University Hospital
Bronchopleural fistula (BPF) is a severe complication following lung resection. We present the case of a patient with a history of advanced lung cancer, who had undergone induction chemoradiotherapy followed by right middle and lower lobectomy, and who developed BPF after completion right pneumonectomy. Although we had covered the bronchial stump with an omental pedicled flap, BPF was found on postoperative day 19. We covered the fistula with n-butyl-2-cyanoacrylate (NBCA) using bronchoscopy. Although we had to repeat the NBCA treatment, we ultimately cured the patient’s BPF and no recurrence was observed up to 15.2 months after surgery.
omental pedicled flap
Acta Medica Okayama
Okayama University Medical School
CopyrightⒸ 2021 by Okayama University Medical School
Cardillo G, Carbone L, Carleo F, Galluccio G, Di Martino M, Giunti R, Lucantoni G, Battistoni P, Batzella S, Dello Iacono R, Petrella L and Dusmet M: The Rationale for Treatment of Postresectional Bronchopleural Fistula: Analysis of 52 Patients. Ann Thorac Surg (2015) 100: 251-257.
Cerfolio RJ: The incidence, etiology, and prevention of postresec-tional bronchopleural ﬁstula. Semin Thorac Cardiovasc Surg (2001) 13: 3-7.
Hu XF, Duan L, Jiang GN, Wang H, Liu HC and Chen C: A clini-cal risk model for the evaluation of bronchopleural ﬁstula in non-small cell lung cancer after pneumonectomy. Ann Thorac Surg (2013) 96: 419-424.
Lois M and Noppen M: Bronchopleural ﬁstulas: an overview of the problem with special focus on endoscopic management. Chest (2005) 128: 3955-3965.
Yamamoto S, Sogabe M, Negishi H, Mitsuda S, Shibano T and Endo S: Successful treatment of post-operative peripheral bron-chopleural ﬁstulas using endobronchial Watanabe spigots. Respirol Case Rep (2020) 8: e00504.
Izumi N, Nagano K, Tei K, Hanada S, Komatsu H and Nishiyama N: Successful Bronchoscopic Closure of Bronchial Stump Fistula Using Cyanoacrylate. Kikanshigaku (J Jpn Soc Respir Endoscopy) (2013) 35: 56-59 (in Japanese).
Kaminuma Y, Tanahashi M, Suzuki E, Yoshii N and Niwa H: Extensive bronchial occlusion with N-butyl-2-cyanoacrylate for bronchopleural ﬁstula and a destroyed lung. Respirol Case Rep (2020) 8: e00500.
Toyooka S, Kiura K, Takemoto M, Oto T, Takigawa N, Fujiwara T, Miyoshi S and Date H: Long-term outcome of induction chemora-diotherapy with docetaxel and cisplatin followed by surgery for non-small-cell lung cancer with mediastinal lymph node metastasis. Interact Cardiovasc Thorac Surg (2012) 14: 565-569.
Narita K, Iwanami H, Hiyoshi H, Tachibana M and Tsuboi M: A Case of Covering and Fixation with an Omental Pedicle for Widely Open Bronchopleural Fistula with Empyema. Kikanshigaku (J Jpn Soc Respir Endoscopy) (1998) 20: 523-526 (in Japanese).
Yamamoto R, Tada H, Kishi A and Tojo T: Eﬀects of preoperative chemotherapy and radiation therapy on human bronchial blood ﬂow. J Thorac Cardiovasc Surg (2000) 119: 939-945.
Guggino G, Doddoli C, Barlesi F, Acri P, Chetaille B, Thomas P, Giudicelli R and Fuentes P: Completion pneumonectomy in cancer patients: experience with 55 cases. Eur J Cardiothorac Surg (2004) 25: 449-155.